CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Mercy Hospital Carthage
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $23
- Cash Discount Price: $46
- vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mercy Hospital Carthage is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.37x the Medicare baseline. Located in 3125 Dr Russell Smith Way, Carthage, MO.
Cash / Self-Pay
$46
Average discount available for prompt cash payment at this facility.
Insurance Median
$23
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$16.8
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $16.8 (100%)
Cash / Self-Pay: $46 (274%)
Insurance Median: $23 (137%)
Cash: $46 (274% of Medicare)
Ins. Median: $23 (137% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $16.8 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $7 - $102 | 42% |
| Blue Cross Blue Shield | $7 - $67 | 42% |
| Cherokee Nation Health Serv Contracted [320066] | $7 - $32 | 42% |
| Cigna | $7 - $104 | 42% |
| Cross Timbers Hospice [20098] | $7 - $32 | 42% |
| Dept Of Veteran Affairs Contracted [320106] | $7 - $32 | 42% |
| Elara Caring Aspire Hospice [20433] | $7 - $32 | 42% |
| Globalhealth Contracted [320145] | $7 - $32 | 42% |
| Halo Hcr Inc Hospice Contracted [320432] | $7 - $32 | 42% |
| Halo Hcr Inc Hospice [20432] | $7 - $32 | 42% |
| Humana | $7 - $34 | 42% |
| Indian Health Service Contracted [320198] | $7 - $32 | 42% |
| Kindful Hospice Contracted [320434] | $7 - $32 | 42% |
| Kindful Hospice [20434] | $7 - $32 | 42% |
| Medical Associates Health Contracted [320444] | $7 - $32 | 42% |
| Medicare (plans) | $7 - $34 | 42% |
| Mercy Hospice Okc [20252] | $7 - $32 | 42% |
| Mercy Mgd Behavioral Health Contracted [320259] | $7 - $32 | 42% |
| Pace Of The Ozarks Contracted [320518] | $7 - $32 | 42% |
| Provider Partners Health Plans Contracted [320450] | $7 - $32 | 42% |
| Qual Choice Contracted [320325] | $7 - $32 | 42% |
| Tricare | $7 - $32 | 42% |
| UnitedHealthcare | $7 - $100 | 42% |
| Point C Contracted [320238] | $9 - $104 | 54% |
| Health Systems Inc Contracted [320174] | $11 - $49 | 65% |
| Insurance System Inc Contracted [320465] | $11 - $49 | 65% |
| Administrative Payor Contracted [320005] | $12 - $52 | 71% |
| Centivo Contracted [320505] | $12 - $53 | 71% |
| Ambetter / Centene | $14 - $63 | 83% |
| Healthscope Contracted [320182] | $14 - $60 | 83% |
| Home State Health Plan Contracted [320187] | $14 - $63 | 83% |
| Medicaid / KanCare | $14 - $63 | 83% |
| Novasys Contracted [320285] | $14 - $63 | 83% |
| Benefit Management Contracted [320052] | $16 - $100 | 95% |
| Auxiant Contracted [320462] | $17 - $98 | 101% |
| Healthlink Contracted [320179] | $17 - $107 | 101% |
| Preferred Health Plan Contracted [320522] | $17 - $75 | 101% |
| Workers Comp [20426] | $21 - $115 | 125% |
| 90 Degree Benefits Contracted [320436] | $22 - $98 | 131% |
| Aither Health Contracted [320449] | $22 - $98 | 131% |
| Ebms Contracted [320493] | $22 - $98 | 131% |
| Edison Health Solutions Contracted [320502] | $22 - $98 | 131% |
| Imagine 360 Contracted [320494] | $22 - $98 | 131% |
| Mercy Benefit Admin Contracted [320251] | $22 - $104 | 131% |
| Reflect Health Contracted [320492] | $22 - $98 | 131% |
| Show-Me Health Administrators Contracted [320483] | $22 - $98 | 131% |
| Yuzu Health Contracted [320521] | $22 - $98 | 131% |
| American Healthcare Alliance Contracted [320020] | $23 - $104 | 137% |
| Evolutions Health Care Contracted [320124] | $23 - $100 | 137% |
| First Health Contracted [320128] | $23 - $100 | 137% |
| Medica Contracted [320239] | $23 - $100 | 137% |
| Multiplan Contracted [320270] | $23 - $100 | 137% |
| Ppo Plus Contracted [320310] | $23 - $104 | 137% |
| Private Health Care Systems Contracted [320320] | $23 - $100 | 137% |
| United Medical Resources Contracted [320454] | $23 - $104 | 137% |
| Usa Managed Care Org Contracted [320429] | $23 - $104 | 137% |